Agency Application -
Nanny Application
Where do you want to be a nanny?
Email:
Name
Address
Date of Birth
Best reached phone number
Do you have a Drivers License?
Yes
No
Drivers License Number
Do you have a car?
Yes
No
Are you willing to transport children in your car?
Yes
No
Please check boxes in which you are certified
CPR
First Aid
Date available
Please describe the type of position you are looking for (Part Time. Full Time. Live in/Out ) and preferred salary
Education
Check all that apply
High School
Some College
College
other
Childcare Experience
Please describe your childcare experience starting with the most recent family you have worked for. Also please tell us how many years of professional Nanny exprience you have:
Family reference phone numbers
2
3
4
5
Getting To Know You
What qualities should a successful nanny possess?
If you have never been a nanny before, please explain why you would like to pursue this opportunity:
Years and experience with newborns and infants:
If you are happy with your position, what is the maximum time you would stay with a family?
What are your future goals?
What are your interests and hobbies?
Please list activities you like to do with children:
What is your current health status? Medications?
Were you ever convicted of a crime? If yes, please explain.
Please describe your driving record; tickets, accidents, suspensions, violations, and dates received:
Do you swim? If so, how well do you swim?
Please describe your discipline preferences when taking care of someone's child:
Best and worst childcare experiences:
How would your friends and family describe your personality?
In the space below, write a paragraph to introduce yourself to parents. Please briefly describe your family background, focusing on the positive aspects, and what brought you into the childcare field. Discuss, in detail, what qualities you have to offer a family as their nanny while referring to some of your previous positions that you have had with children.
Thank you for filling out the application. Please submit and also copy and paste this link in another browser: http://eepurl.com/mlG6H This will allow you to receive available positions. You can then email us back to let us know if you are interested in any of them. Thank you!








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